Senior Healthcare Contracts Consultant

About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate you are joining a culture that is built on values of succeeding together finding a better way and doing the right thing. If you are ready to make a difference join us.

The Impact Youll Have

This position combines the disciplines of contract management project coordination and stakeholder engagement. The position offers the opportunity to lead complex contract initiatives influence business processes and collaborate with legal operational and executive stakeholders across the organization. The successful candidate will serve as a key partner to Underwriting Legal Compliance and business leaders driving complex contract initiatives from development through execution while ensuring operational excellence.

What Youll Do

• Lead and manage the end-to-end service agreement lifecycle including renewals negotiations amendments execution and ongoing contract administration for Service Agreements Claims Administrator Agreements and Stop Loss Agreements.
• Develop maintain and enhance contract templates service agreements standards and supporting documentation to ensure consistency operational efficiency and compliance with regulatory and corporate requirements.
• Serve as the subject matter expert and strategic advisor for contract administration providing guidance and consultation to Underwriting Legal Account Management leadership and other business stakeholders.
• Draft negotiate analyze and administer complex contracts and contractual provisions including Service Agreements Claims Administrator Agreements and Stop Loss Agreements while identifying and mitigating contractual and business risks
• Partner with cross-functional business legal and compliance teams to support contract strategy interpret agreement provisions resolve contract-related issues and ensure alignment with organizational objectives.

How Youll Do It

• Monitor regulatory legislative and industry developments and lead the evaluation redesign and modernization of Service Agreements Claims Administrator Agreements Stop Loss Agreements and related governance processes to maintain compliance and support business needs.
• Lead enterprise contract initiatives governance activities filings audits and special projects related to the agreements including Inter-Plan Provision filings regulatory submissions annual agreement reviews and contract lifecycle management improvements.
• Develop and deliver training education and operational support to business partners while managing complex inquiries compliance reviews and other strategic initiatives that advance departmental and organizational goals.
• Performs additional responsibilities consistent with the scope and level of the role as assigned

Required Skills & Experience

• 5 years of related finance professional experience.
• Bachelors degree; in lieu of a degree an additional two years of relevant experience beyond the qualifications listed above may be accepted.

Preferred Skills & Experience

• Demonstrated ability to communicate complex topics clearly and concisely actively listen to anticipate stakeholder needs and align others to drive informed decisions.
• Capacity to analyze complex information evaluate options and work cross-functionally to drive resolution and prevent recurrence.
• Ability to effectively organize work balance competing priorities and manage time across complex assignments and competing deadlines.
• Knowledge of underwriting principles health insurance concepts risk selection industry practices.
• Demonstrated knowledge of Individual and Small Group eligibility state/federal regulations and medical terminology.
• Proficiency with Microsoft Office applications and underwriting platforms such as BEN enGen or GRS.

Role Designation

Hybrid

Role designation definition:

• Teleworking is working full time remote.
• Hybrid is a minimum of 2 days onsite.
• Onsite is full-time onsite.

Anchored in Connection

Our hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships creativity and alignment. The rest of the week you are empowered to work remote.

Compensation and Benefits

$79100.00 - $104800.00 - $130500.00 Annual

Pay is based on several factors which vary based on position including skills ability and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

• Medical dental and vision insurance

• Life insurance

• 401k

• Paid Time Off (PTO)

• Volunteer Paid Time Off (VPTO)

• And more

To discover more about what we have to offer please review our benefits page .

Equal Employment Opportunity Statement

At Blue Cross and Blue Shield of Minnesota we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to and will not be discriminated against based on any legally protected characteristic.

Individuals with a disability who need a reasonable accommodation in order to apply please contact us at:

Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.

Required Experience:

Senior IC